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1164440368
TIMOTHY BLANKENSHIP
POPLAR BLUFF, MO
NPI
1164440368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2006018048)
Enumeration Date
2006-07-17
Last Update Date
2008-10-01
Business Address
-- TIMOTHY BLANKENSHIP O.D.
2511 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2338
Phone number: 573-686-5866
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Mailing Address
-- TIMOTHY BLANKENSHIP O.D.
1200 W DEYOUNG ST
MARION, IL 62959-4437
Phone number: 618-993-5686
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